Individual
BRADFORD J BROUILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
410 W POPLAR ST., REHABILITATION SERVICES, WALLA WALLA, WA 99362
(509) 897-3320
(509) 897-5752
Mailing address
410 W POPLAR ST., REHABILITATION SERVICES, WALLA WALLA, WA 99362
(509) 897-3320
(509) 897-5752
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008159
WA
Other
Enumeration date
10/06/2006
Last updated
01/11/2017
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